A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

"Instruct the client's visitors not to operate the PCA pump.

"Check the client's pain level every 8 hours.

"Using morphine PCA increases the client's risk of toxicity."

"Diarrhea is an adverse effect of morphine PCA"

Answer and Explanation

The Correct Answer is A

A.   Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B.   Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D.   Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.

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Correct Answer is ["1.2"]

Explanation

Convert weight from pounds to kilograms:
- Child’s weight = 66 lb
- Conversion factor: 1 kg = 2.2 lb
- 66 lb ÷ 2.2 = 30 kg
Calculate the total weekly dose:
- Prescribed dose = 0.24 mg/kg/week
- 30 kg × 0.24 mg/kg = 7.2 mg/week
Determine the daily dose:
- The dose is given six times per week
- 7.2 mg ÷ 6 = 1.2 mg/day

The nurse should administer 1.2 mg of somatropin per dose subcutaneously to the child.

A. "Give your child three doses of aspirin following administration of this vaccine. B. "The vaccine should be avoided in children who have leukemia. C. "This vaccine is contraindicated for children who are allergic to eggs. D. "The first dose of this vaccine is given after the child is 3 years old

Correct Answer is B

Explanation

A. Aspirin is not recommended for routine use in children due to the risk of Reye's syndrome.
B. Live vaccines, like the varicella vaccine, may be contraindicated in children with leukemia or other immunocompromised conditions.
C. The vaccine is not made with eggs and does not cause egg allergy.
D. The first dose is usually recommended between 12 and 15 months of age.

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A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.2"]

Explanation

A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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